A case of tracheal rupture after a Lewis-Tanner esophagectomy in a patient with carcinoma of the esophagus was complicated by the formation of a tracheoesophageal fistula after initial direct repair. The fistula was successfully treated with a pectoralis major muscle flap moved into the superior mediastinum by a sternotomy and excision of the upper part of the sternum and adjacent costal cartilages.

A case of tracheal rupture after a Lewis-Tanner esophagectomy in a patient with carcinoma of the esophagus was complicated by the formation of a tracheoesophageal fistula after initial direct repair. The fistula was successfully treated with a pectoralis major muscle flap moved into the superior mediastinum by a sternotomy and excision of the upper part of the sternum and adjacent costal cartilages.

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eng

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Elsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amjsurg

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American Journal of Surgery

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Carcinoma, Squamous Cell - Surgery

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Esophageal Neoplasms - Surgery

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Humans

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Male

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Middle Aged

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Pectoralis Muscles

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Rupture, Spontaneous

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Sternum - Surgery

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Surgical Flaps

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Trachea - Injuries

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Tracheoesophageal Fistula - Etiology - Surgery

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dc.title

Use of the pectoralis major muscle flap for repair of a tracheoesophageal fistula